Kelly, Sarah, Cowan, A, Akdur, Gizdem, Irvine, Lisa, Peryer, Guy, Welsh, S, Rand, Stacey, Lang, I, Towers, Ann-Marie, Spilsbury, Karen, and others. (2023) Outcome measures from international older adult care home intervention research: a scoping review. Age and Ageing, 52 (5). pp. 1-10. ISSN 0002-0729. (doi:10.1093/ageing/afad069) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:100541)
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Official URL: https://doi.org/10.1093/ageing/afad069 |
Abstract
Background: Care homes are increasingly important settings for intervention research to enhance
evidence-informed care. For such research to demonstrate effectiveness, it is essential that
measures are appropriate for the population, setting and practice contexts.
Objective: To identify care home intervention studies and describe the resident outcome measures
used.
Design: Scoping review
Methods: We reviewed international care home research published from 2015-August 2022. We
searched MEDLINE, EMBASE, CINAHL, ASSIA. We included any intervention study conducted in a
care home, reporting resident outcomes. We extracted resident outcome measures, organised these
using the domains of an adapted framework and described their use.
Results: From 7,330 records screened, we included 396 datasets reported in 436 publications.
These included 12,167 care homes and 836,842 residents, with an average of 80 residents per
study. The studies evaluated 859 unique resident outcomes 2,030 times using 732 outcome
measures. Outcomes were evaluated between 1-112 times, with 75.1% of outcomes evaluated only
once. Outcome measures were used 1-120 times, with 68.4% of measures used only once. Only 14
measures were used ≥20 times. Functional status, mood & behaviour, and medications were the
commonest outcome domains assessed. More than half of outcomes were assessed using scales,
with a fifth using existing records or administrative data.
Conclusions: There is significant heterogeneity in the choice and assessment of outcomes for
intervention research in care homes There is an urgent need to develop a consensus on useful and
sensitive tools for care homes, working with residents, families and friends and staff.
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